School Resource Officer - Confidential Reporting Form
Any student or parent can inform the School Resource Officer about any situation or problem that you know about. These situations may be in school or outside of the school building. Please provide as much detail about the situation as possible.

The information you provide will be held in the strictest confidence. There are instances, however that are required by law to be reported to additional proper authorities including acts that may harm self or others.

False reporting of an incident is against the law and school policy.
Date of the Incident (if known)
Your answer
Timing of incident? *
I was a *
Type of Incident? *
Required
Person/people involved in the incident *
Your answer
Please give some details about the incident. *
Your answer
Did you tell an adult about the incident? *
Required
If you answered "Yes" above, who did you tell?
Your answer
Your Name (to contact for more information) *
Your answer
Phone Number (if you are not a current student)
Your answer
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